Chapter 41: Acute abdomen

The frenzied harvesting operation went on for another hour, and it wasn't until Jin Cheng found that all the medicinal materials he needed had been obtained, and there were quite a few of them, that he stopped and walked back.

Collecting medicine is very simple for Jin Cheng, but processing and processing is a test of patience, and the medicine collected in two hours cannot be processed in forty-eight hours.

Jin Cheng admits that he is not a diligent person, and he is psychologically resistant to this kind of mechanical and unskilled work.

Back in the health room, he worked overtime for two hours overnight, relying on sharp knives and skilled knife skills to make the medicinal materials that were urgently needed tomorrow.

……

On this day, Jin Cheng still opened the roller shutter early, first cleaned the hygiene, and then went to Lao Wang's for breakfast.

When he came back from dinner, there were already several patients in the clinic, a few of whom had made an appointment to pick up Chinese medicine today, and three other faces.

Jin Cheng found that during this period, several people from neighboring villages came to him every day to see a doctor, plus the residents of this village, there were seven or eight new patients every day, many of which were incurable diseases, such as lumbar disc herniation, which were also incurable diseases, and if they were cured by non-surgical means, it was estimated that there would be 50 merits to be gained; Non-specific ulcerative colitis is an international medical problem, and 50 merit points are not a problem.

Seeing these patients, Jin Cheng is like seeing relatives, he will not accept gifts during the festival this year, and only receive merit points.

Song Yonghai was the earliest, the first to see a doctor, after three days of acupuncture and massage, he felt that his waist was much easier, and he could finally straighten his waist, and he was looking forward to the follow-up Chinese medicine treatment.

Today, Jin Cheng gave him acupuncture and massage again, and then brought seven pairs of traditional Chinese medicine, the old man couldn't thank him enough, saying that when his son came back, he must invite Jin Cheng to his house as a guest.

Shortly after the old man left, a middle-aged woman came in with a child in her arms.

"Doctor Jin, help my little grandson take a look, I don't know what's going on, I have been complaining about stomach pain since the second half of yesterday night, and the pain is even worse this morning." The middle-aged woman was about 50 years old, slightly chubby, probably trotting over with a child in her arms, panting, and looking very anxious.

Jin Cheng knew that this middle-aged woman was from this village, her name was Liang Caiyun, and her little grandson was called Zhu Haoran, who was four years old this year, and she looked very cute, with some thin little faces full of tears, her brows furrowed tightly, her face pale, and she looked pitiful.

"Okay, put Haoran on the bed, and I'll check it on him." Jin Cheng asked the patient to wait for a while, and he stood up and came to the examination bed.

Jin Cheng took the pulse with one hand and touched Zhu Haoran's stomach with the other.

Two minutes later, Jin Cheng withdrew his hand, raised his head and asked, "Aunt Liang, has Xiao Haoran solved his stool?" ”

"Solved it once in the morning." Liang Caiyun replied.

"What color, isn't it like jam?" Jin Cheng asked.

"Yes, dark red, Dr. Jin, what is my little grandson's disease?" Liang Caiyun asked anxiously.

"From the analysis of the current situation, your little grandson is intussusception, fortunately the intestinal tube is not stuck, you had better take him to the county to diagnose it, if the diagnosis is correct, ask the doctor to reduce it manually in the county hospital, try not to do surgery, the child is still young, and the loss of surgery to the body is still quite large." Jin Cheng said.

"Dr. Jin, what's going on with intussusception?" Liang Caiyun had never heard of the disease intussusception, so he asked very puzzled.

"To put it simply, one section of the intestine is set on top of another section of the intestine, causing the intestinal narrowing, affecting blood circulation, and may lead to intestinal necrosis over time." Jin Cheng thought for a moment and explained.

"Gee, that's not very dangerous." When Liang Caiyun heard Jin Cheng say this, he immediately panicked, and only came back to his senses after half a sound, "I'll call my son and ask him to come back and pick up Haoran to go to the county." ”

"It's better if you go to town and pick it up over there, it will save time." Jin Chengjian said, this is how the patient with a ruptured spleen last time was rushed.

"Doctor Jin, can you reset my little grandson first?" Liang Caiyun hesitated for a long time and asked.

Jin Cheng smiled, "The diagnosis is not clear, I can't take the plunge, the main reason is that manual reduction has a certain risk, it is better to be cautious." ”

"That'...... All right! I'll go, Dr. Jin, can you tell me your phone number? ”

"It's on the wall at the door, Aunt Liang, don't be too anxious, when I checked Haoran just now, my intestinal tube had been loosened a little, and there was no problem within eight hours." Jin Cheng said with a smile.

"That's great, thank you Dr. Jin." With Jin Cheng's words, Liang Caiyun's face softened a lot, and it only took two or three hours to drive to the county seat, which was more than enough for eight hours.

After Liang Caiyun left, Jin Cheng continued to treat the patients, and at about nine o'clock, all the patients left satisfied. Jin Cheng drove the tireless Yao Jiazhe away from the computer and told him to rest, don't look bad at it, this kid can stay in front of the computer all morning without going to the toilet.

After taking over the computer, Jin Cheng searched for the technique of intussusception

It was not that he deliberately showed off his diagnostic level that he asked Liang Caiyun to take her grandson to the county, but he was really not sure, he had seen this disease in Western medicine books, and he only knew some fur about manual reduction, and now he has encountered it, and he just studied it systematically.

Intussusception is mostly inserted into the wide cecum lumen from the end of the ileum, and the three typical symptoms are: abdominal pain, jam-like bloody stool and abdominal mass, all of which Zhu Haoran has. The information found on the Internet shows that the manual reduction of intussusception is actually simple, but it is very difficult, and the clinical success rate is not high.

Repositioning the intestinal tube from the surface of the abdomen is like scratching the itch of the shoe, and it is very blind, completely based on the experience of the operator, and nowadays air enema or barium enema is generally used. When Jin Cheng saw this, he smiled, it was very difficult for others, but for him, it was actually quite simple.

If it weren't for the sake of prudence, when he examined Xiao Haoran, he might have pulled out the intestines that had been put on him. But the more he looked back, the more frightened he became, the original technique was reset, not deadlifting, but pushing, fortunately he was more cautious, otherwise there might be a problem.

Wiping the sweat on his forehead, Jin Cheng secretly exclaimed that he was lucky, he still had to strengthen his study, he had read less books on Western medicine, and he could only reach the realm of half-understanding of some diseases.

"Jiazhe, I'm going to the county seat, do you want to go?" Jin Cheng thought that the varieties of medicinal materials were still too monotonous, so he decided to go to the medicinal materials market to wholesale some traditional Chinese medicines, most of which could be collected from herbal medicines, but some animal materials, such as pangolins, deer antlers, scorpions, centipedes, leeches, cicadas and flower snakes, etc., were still convenient to wholesale.

"Master, I'm not going, I want to stay in the store and surf the Internet." Yao Jiazhe pondered for a moment, but decided to stay.

"It's okay, I'll throw the key to you, just lock the door when you go home, and if there are special circumstances, I will ask Grandpa Wang in the cafeteria to call me, look at the computer every hour, and rest for five minutes, you know?" Jin Cheng handed over the key to Yao Jiazhe and took some vacuum-packed food for him as snacks.

Yao Jiazhe has been able to eat well in the past two years because of poor family conditions, but now when he sees a bunch of sauced chicken legs and sauced chicken wings, his saliva involuntarily flows out.

Jin Cheng came to the village to greet Lao Wang, and then rode a motorcycle to the town.

It was just ten o'clock when he arrived in the town, and Jin Cheng first came to the blacksmith shop in Lao Street.

It was still the middle-aged man who was in the store, and when he saw Jin Cheng, he greeted him very warmly.

"Little brother, it's on time, it's exactly three days, haha."

"Boss, I'm also in a hurry! Can guillotines and grooves be done? Jin Cheng asked with a smile, he has a plan, if he can't do it, he can buy it back when he goes to the county seat today.

"Haha, it's all done, I can't think of it!" The shopkeeper laughed.

"That's really unexpected, take me to see it." Jin Cheng was also surprised, he didn't expect them to be so efficient.